Abstract

By February 2022, European and US agencies recommended use of the BNT162b2 mRNA COVID-19 vaccine (Pfizer–BioNTech) as a primary two-dose series in children aged 5–11 years and as a booster dose in adolescents aged 12–15 years.1–2 Since then, some real-world BNT162b2 vaccine effectiveness data among children and adolescents have generally showed moderate protection against symptomatic infection,3–6 with better protection against COVID-19-associated serious outcomes (emergency department visits and hospitalisations),6–9 especially in the weeks immediately after vaccination.

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